Expert Medical Billing and Claims Processing
According to the New England Journal of Medicine, overhead and billing expenses consume as much as 43% of a physicians annual revenue. Despite the rising costs associated with delivering quality health care, the insurance companies have teams of experienced staff members working specifically to delay payments, and deny claims. As the complexities of the claim submission process evolve, effective revenue cycle management becomes an even more essential component of every profitable medical practice. Claim Resolutions utilizes the latest and most innovative strategies to battle for reimbursement on your behalf.
Your ability to see your patients is of the utmost importance to your practice, so too is your ability to every aspect of your accounts receivable management. Through knowledge, skills, and experience we can reduce claim rejection rates to less than 1%, and reduce the time waiting for reimbursement to less than 7 days. Integrating our services with your practice will result in more revenue, faster reimbursement, and more time to focus on patient care.
Claim Resolutions is committed to furnishing your practice with a means to maximize revenue. Expert claims processing will minimize rejections, and result in faster reimbursement. Daily coding analysis will ensure the use of the most up to date, most valuable codes and modifiers. We facilitate your participation in valuable revenue enhancing incentive programs such as E-Prescribe and PQRI reporting. We will assist you in recouping lost revenue by resubmitting all returned, delayed, and denied claims, ensuring that you get paid for ALL of the services you provide. Our patient billing services will maintain your valuable patient-practice relationship while streamlining payments.
Stay Ahead of Changes, Avoid Hefty Fines
Ever changing payer requirements have made claim submission a constantly evolving process. Having experts on your side can mean the difference between a healthy revenue cycle and declining profits. New federal, state, and CMS regulations mandate steep fines for non-compliance. Failure to conform to recent changes in CMS Mandatory Reporting Requirements results in fines of $1000 per claim, per day. In March 2009, Minnesota became the first state to mandate strict guidelines for claim submission; also setting fines at $1000 per claim, per day.
For some practices, the upcoming transition to ICD-10 means countless hours of training and preparation. Implementing a change from roughly 13,000 codes to more than 130,000 codes can be a daunting task. Claim Resolutions has trained for this change, and is prepared to implement these changes today.
Expert Consulting
With our help, your practice will maximize revenue, expedite accounts receivable, and eliminate inefficiencies. Contact us today to discuss how Claim Resolutions can become an essential component of your successful practice. We look forward to exceeding your expectations!